Author/Editor     Pšenica, Janez
Title     Artroskopija zapestja
Translated title     Wrist arthroscopy
Type     članek
Source     Endoskopska revija
Vol. and No.     Letnik 4, št. 9
Publication year     1999
Volume     str. 99-105
Language     slo
Abstract     Beckground. Perfomed for the first time 25 years ago, arthroscopy of the wrist has been used widely for 10 years in the western world, yet it is currently practiced routinely in only one surgical department in Slovenia. The author reports his 3-year experience with this method. Methods. The technique of wrist arthroscopy is described, and indications for its diagnostic and therapeutic use are discusse. Results. The author perfomed 80 wrist arthroscopies in the period 1996-1998. Initialy the procedure was used only for diagnostic purposes but later on, as experience was gained and new instruments were available, it became a predominantly therapeutic measure. It is rarely associated with complications. Conclusions. The wrist is a complex set of joints, and diagnostic evaluation of wrist pathology is a complicated task. Wrist arthroscopy, a relatively new diagnostic and therapeutic procedure, is bound to play an important part in future surgery of the wrist. We believe that it should have a place in most surgical departments in Slovenia.
Summary     Mineva 25 let od prve artroskopije zapestja in vsaj deset let od razširitve uporabe te metode v razvitem svetu. V Sloveniji atroskopija zapestja iz različnih razlogov še ni zaživela. Avtorjeve triletne izkušnje s to operativno metodo so podlaga za popularizacijo te metode. Bolniki in metode. Prikazujemo tehniko izvedbe atroskopije zapestja, svoje izkušnje in priporočene indikacije pri različnih poškodbah, popoškodbenih in bolezenskih stanjih. Rezultati. V triletnem obdobju smo opravili 80 artroskopij zapestja. Sprva le diagnostični postopek, z izkušnjami, razvojem novih tehnik in inštrumentov, postaja vedno bolj tudi terapevtski. Zapletov atroskopije zapestja nismo opažali. Zaključki. Tako kot je zapestje zelo kompleksen skupek sklepov, je tudi obravnava in diagnostika težav z zapestjem zahteven postopek. Artroskopija zapestja je relativno nova diagnostična in terapevtska metoda, brez katere si kirurgije zapestja ne bo več moč predstavljati. SMatramo, da je smiselna razširitev uporabe te metode v večino Slovenskih bolnišnic.
Descriptors     ARTHROSCOPY
WRIST JOINT
WRIST INJURIES
SURGERY, LAPAROSCOPIC
SLOVENIA